Active NPI
Jacquelyn Baik
- Pharmacist
- Woodinville, WA
National Provider Identifier
1427532159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60821236
- Practice address
- 15030 232ND Ave NE
Woodinville, WA 98077-7222 - Phone
- (847) 372-8717
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60821236 | WA | Primary |
Addresses
Primary practice location
15030 232ND Ave NE
Woodinville, WA 98077-7222
Mailing address
15030 232ND Ave NE
Woodinville, WA 98077-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60821236 | Other | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60821236 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1427532159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15030 232ND AVE NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980777222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15030 232ND AVE NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980777222",
"telephone_number": "847-372-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIK",
"first_name": "JACQUELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60821236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH60821236",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.